2 results match your criteria: "Department of Obstetrics and Gynecology University of California Los Angeles CA.[Affiliation]"
Delivery Timing and Associated Outcomes in Pregnancies With Maternal Congenital Heart Disease at Term.
J Am Heart Assoc
August 2022
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology University of California Los Angeles CA.
Background Current recommendations for delivery timing of pregnant persons with congenital heart disease (CHD) are based on expert opinion. Justification for early-term birth is based on the theoretical concern of increased cardiovascular stress. The objective was to evaluate whether early-term birth with maternal CHD is associated with lower adverse maternal or neonatal outcomes.
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- - The study aimed to reduce early-term deliveries and cesarean deliveries (CD) in pregnancies with fetal congenital heart disease by using a standardized clinical assessment and management plan (SCAMP) implemented across multiple institutions.
- - Following the implementation of SCAMP, results showed a significant increase in the rate of vaginal deliveries and later gestational ages compared to a historical cohort, with specific improvements in pregnancies with major cardiac lesions.
- - The findings suggest that using standardized clinical pathways like SCAMP can enhance care, lower maternal risks associated with cesarean deliveries, improve neonatal outcomes, and potentially cut healthcare costs.